Based on facility policy review, Pharmacy Services agreement, facility investigation review, review of facility medication reconciliation documents, and interview, the facility failed to have a system of recording, accurate reconciliation, and accounting for all controlled medications, failed to promptly identify loss or potential diversion of controlled medications, and failed to timely determine the extent of loss or potential diversion of controlled medications for 7 of 9 (Resident #1, #2, #5, #6, #7, #8, and #9) sampled residents reviewed with orders for controlled narcotics. On [DATE] the medication nurse (LPN E) discovered that Resident #2's Fentanyl transdermal patch had been tampered with, no actions were taken at that time on [DATE]. …
F755 citations in Tennessee
Pharmacy services · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Tennessee cites F755 less often than its own record predicts
0.69 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee in 2025, this is the portion that was F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Tennessee surveyors wrote
F755 findings written in Tennessee, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on facility policy review, medical record review, review of the Controlled Drug Use Record, and interview, the facility failed to properly document narcotic medications signed in error or wasted, and failed to ensure drug destruction sheets were signed by 2 nurses for 3 of 4 (November 2025, December 2025 and January 2026) months reviewed. The findings include: 1. Review of the facility policy titled, Disposal of Medications and Medication-Related supplies, dated 11/18, revealed .When a dose of a controlled medication is removed from the container for administration but refused by the resident or not given for any reason .It is destroyed in the presence of two licensed facility personnel as permitted by the regulations, and the disposal is documented on the accountability record/book… …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.66% | 0.31× |
| 2024 | 1.46% | 0.68× |
| 2025 | 1.61% | 0.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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